Admission to Intensive Care for a trauma related to alcohol or drugs, a ‘teachable moment’ for the beginning of a change

Cordovilla‐Guardia, Sergio; Vilar-López, Raquel; Lardelli-Claret, Pablo; Navas, Juan F.; Guerrero-López, F.; Fernández-Mondéjar, E.

doi:10.1016/j.enfie.2016.12.001

Cited by 3 publications

(18 citation statements)

References 44 publications

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“…There were 100 records that reported on the prevalence of AOD involvement in injury events. Of the 100 records that reported on all causes of injury (excluding transport events), 30 studies reported on the prevalence of AOD involvement in patients presenting to hospital after falls 24–52. One of these studies was excluded, since it reported exclusively on patients who denied consuming alcohol in the past year 38.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-two independent cohorts were reported on across the 29 records. Multiple papers reported findings from the Trondheim traumatic brain injury (TBI) (n=2),29 46 TRACK-TBI (n=2)51 52 and MOTIVA (n=2) studies 33 34. Additionally, several papers examined overlapping datasets, including two studies each from the National Trauma Data Bank in the USA,27 44 the Oslo University Hospital Emergency Department,25 30 the R Adams Cowley Shock Trauma Centre24 48 and a trauma centre in Taiwan 32 45.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were predominantly from the USA (13 studies) 24 26–28 31 36 39 41–44 48–52. There were two studies from Norway,25 29 30 46 and one each from Bhutan,35 Ghana,37 Spain,33 34 Taiwan,32 45 Tanzania45 and the UK 40. One additional record compiled data from 22 studies across 10 countries from North and South America including Canada, the USA, Mexico, Brazil, Argentina, the Dominican Republic, Guatemala, Guyana, Nicaragua and Panama 53.…”

Section: Resultsmentioning

confidence: 99%

“…Six records reported on the prevalence of any alcohol and/or drug involvement in falls, with prevalence ranging from 25% to 53% (table 3). 25 30 33 34 39 41 Two papers reported on the MOTIVA study33 34 and two reported on overlapping cohorts from the Oslo University Hospital 25 30. For the MOTIVA study, which involved systematic AOD screening in trauma patients to determine eligibility for a brief intervention to reduce trauma recidivism, Cordovilla-Guardia et al 34 was included in meta-analyses as it reported on a larger subset of the total MOTIVA study population compared with the other paper from this study 33.…”

Section: Resultsmentioning

confidence: 99%

“…25 30 33 34 39 41 Two papers reported on the MOTIVA study33 34 and two reported on overlapping cohorts from the Oslo University Hospital 25 30. For the MOTIVA study, which involved systematic AOD screening in trauma patients to determine eligibility for a brief intervention to reduce trauma recidivism, Cordovilla-Guardia et al 34 was included in meta-analyses as it reported on a larger subset of the total MOTIVA study population compared with the other paper from this study 33. For the studies from the Oslo University Hospital, Bakke et al 25 was included despite reporting on a smaller sample as it was more recent and included more complete prevalence data compared with Bogstrand et al 30.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of alcohol and other drug use in patients presenting to hospital for fall-related injuries: a systematic review

et al. 2022

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BackgroundAlcohol and other drug (AOD) use is a key preventable risk factor for serious injuries. Prevention strategies to date have largely focused on transport injuries, despite AOD use being a significant risk factor for other injury causes, including falls. This systematic review aimed to report the prevalence of AOD use in patients presenting to hospital for fall-related injuries.MethodsThis systematic review includes studies published in English after the year 2010 that objectively measured the prevalence of AOD use in patients presenting to hospital for a fall-related injury. Screening, data extraction and risk of bias assessments were completed by two independent reviewers. Data were presented using narrative synthesis and, where appropriate, meta-analyses.ResultsA total of 12 707 records were screened. Full texts were retrieved for 2042 records, of which 29 were included. Four studies reported the combined prevalence of any alcohol and/or drug use, generating a pooled prevalence estimate of 37% (95% CI 25% to 49%). Twenty-two records reported on the prevalence of acute alcohol use alone and nine reported specifically on the prevalence of drugs other than alcohol, with prevalence ranging from 2% to 57% and 7% to 46%, respectively. The variation in prevalence estimates likely resulted from differences in toxicology testing methods across studies.ConclusionsAOD exposure was common in hospitalised fall-related injuries. However, research addressing prevalence across different types of falls and the use of drugs other than alcohol was limited. Future research should address these areas to improve our understanding of which populations should be targeted in AOD and injury prevention strategies .PROSPERO registration numberCRD42020188746.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence of alcohol and other drug use in patients presenting to hospital for fall-related injuries: a systematic review

et al. 2022

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Approaches and reporting of alcohol and other drug testing for injured patients in hospital‐based studies: A systematic review

Lau,

Ang,

Kim

et al. 2024

Drug and Alcohol Review

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IssueHospital alcohol and/or other drug (AOD) testing is important for identifying AOD‐related injuries; however, testing methods vary. This systematic review aimed to examine biological AOD testing methods from hospital‐based studies of injured patients and quantify what proportion reported key information on those testing methods.ApproachObservational studies published in English from 2010 onwards involving biological AOD testing for injured patients presenting to hospital were included. Studies examining single injury causes were excluded. Extracted data included concentration thresholds for AOD detection (e.g., lower limits of detection, author‐defined cut‐offs), test type (e.g., immunoassay, breathalyser) and approach (e.g., routine, clinical discretion), timing of testing, sample type and the proportion of injured cases tested for AODs.Key FindingsOf 83 included studies, 76 measured alcohol and 37 other drugs. Forty‐nine studies defined blood alcohol concentration thresholds (ranging from 0 to 0.1 g/100 mL). Seven studies defined concentration thresholds for other drugs. Testing approach was reported in 39/76 alcohol and 18/37 other drug studies. Sample type was commonly reported (alcohol: n = 69/76; other drugs: n = 28/37); alcohol was typically measured using blood (n = 60) and other drugs using urine (n = 20). Studies that reported the proportion of cases tested (alcohol: n = 53/76; other drugs: n = 28/37), reported that between 0% and 89% of cases were not tested for alcohol and 0% and 91% for other drugs. Timing of testing was often unreported (alcohol: n = 61; other drugs: n = 30).Implications and ConclusionVariation in AOD testing methods alongside incomplete reporting of those methods limits data comparability and interpretation. Standardised reporting of testing methods will assist AOD‐related injury surveillance and prevention.

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Prevalence of Alcohol and Other Drug Use in Patients Presenting to Hospital for Violence-Related Injuries: A Systematic Review

Lau

Ang

Kim

et al. 2023

Trauma, Violence, & Abuse

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Substance use is a risk factor for being both a perpetrator and a victim of violence. The aim of this systematic review was to report the prevalence of acute pre-injury substance use in patients with violence-related injuries. Systematic searches were used to identify observational studies that included patients aged ≥15 years presenting to hospital after violence-related injuries and used objective toxicology measures to report prevalence of acute pre-injury substance use. Studies were grouped based on injury cause (any violence-related, assault, firearm, and other penetrating injuries including stab and incised wounds) and substance type (any substance, alcohol only, drugs other than alcohol only), and they were summarized using narrative synthesis and meta-analyses. This review included 28 studies. Alcohol was detected in 13%–66% of any violence-related injuries (five studies), 4%–71% of assaults (13 studies), 21%–45% of firearm injuries (six studies; pooled estimate = 41%, 95% CI: 40%–42%, n = 9,190), and 9%–66% of other penetrating injuries (nine studies; pooled estimate = 60%, 95% CI: 56%–64%, n = 6,950). Drugs other than alcohol were detected in 37% of any violence-related injuries (one study), 39% of firearm injuries (one study), 7%–49% of assaults (five studies), and 5%–66% of penetrating injuries (three studies). The prevalence of any substance varied across injury categories: any violence-related injuries = 76%–77% (three studies), assaults = 40%–73% (six studies), firearms = n/a, other penetrating injuries = 26%–45% (four studies; pooled estimate = 30%, 95% CI: 24%–37%, n = 319).Overall, substance use was frequently detected in patients presenting to hospital for violence-related injuries. Quantification of substance use in violence-related injuries provides a benchmark for harm reduction and injury prevention strategies.

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Admission to Intensive Care for a trauma related to alcohol or drugs, a ‘teachable moment’ for the beginning of a change

Cited by 3 publications

References 44 publications

Prevalence of alcohol and other drug use in patients presenting to hospital for fall-related injuries: a systematic review

Prevalence of alcohol and other drug use in patients presenting to hospital for fall-related injuries: a systematic review

Approaches and reporting of alcohol and other drug testing for injured patients in hospital‐based studies: A systematic review

Prevalence of Alcohol and Other Drug Use in Patients Presenting to Hospital for Violence-Related Injuries: A Systematic Review

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